Individual provider Active NPI

Daniel W Blaszczyk, CRNA

  • Certified Registered Nurse Anesthetist
  • Ann Arbor, MI
National Provider Identifier
1740395284
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704196309 Issued in MI
Practice address
2006 Hogback Rd
Suite 5a
Ann Arbor, MI 48105-9750
Phone
(734) 263-2414
Fax
(734) 773-3471
NPI assigned
Aug 21, 2006
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704196309 MI Primary

Addresses

Primary practice location

2006 Hogback Rd
Suite 5a
Ann Arbor, MI 48105-9750

Mailing address

2006 Hogback Rd
Suite 5a
Ann Arbor, MI 48105-9750
Phone (734) 263-2414

Other identifiers 1

IdentifierTypeStateIssuer
4642039MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001248 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800857285 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
Specialty Medical Center IncGroup PAC ID 8820469380, 20 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Suite 112a
Warren, MI 48093-2546
Phone (586) 751-9800

13530 Michigan Ave
Suite 110
Dearborn, MI 48126-3575
Phone (313) 572-0810

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Institute of Michigan Surgery Center PC CurrentSince Apr 1, 2022 Accepting new patients
Specialty Medical Center Inc CurrentSince Jan 18, 2025 Accepting new patients
Southfield Rehabilitation Company CurrentSince Jun 13, 2010 Accepting new patients
Eastern District Anesthesiology PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2021 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2008 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Sep 18, 2018 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
GLPS Staffing Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2010 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2020 Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Specialty Medical Center Inc Past Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1121 W Hill Rd
Flint, MI 48507
Phone (810) 232-8888

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

4400 Ann Arbor Rd
Jackson, MI 49202
Phone (517) 205-2104

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3023

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

44650 Delco Blvd
Ste 200
Sterling Hts, MI 48313
Phone (586) 254-3391

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

5456 15 Mile Rd
Ste 102
Sterling Hts, MI 48310
Phone (586) 939-3304

5452 Fort St
Trenton, MI 48183
Phone (313) 277-6700

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1740395284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "address_2": "SUITE 5A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-263-2414",
            "fax_number": "734-773-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "address_2": "SUITE 5A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-263-2414",
            "fax_number": "734-773-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASZCZYK",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704196309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4642039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.